HomeMy Public PortalAbout6039ALESSANDRO AVE_Plumbing APPLICATION FOR PLUMBING PERMITDes I� s
DEIS 17 s
IO
DIVISION OF BUILDING AND SAFETY
Deportment of County Engmeer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPW�CAN7 ,TP FILL IN NEAREST
CROSS ST
OWNER DISTRICT No I G�P 'ZONE I READY FOR INSPECTION
MAIL �J/
ADD S
CITY TEL N B INDUSTRIAL
WASTE APPROVAL
PLUMB INSPECTION RECORD
ADDRESS
3-1`s
CITY TEL N 6
LICEN O y 0 /
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 S
BATH TUB @ $1 00
SHOWER @ S100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $1 00
WATER HEATER @ S100
GAS SYSTEM JI $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
IT
CERTIFY T T 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRE Y LO GELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM HE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT P PERTY
SIGNATURE
OF PERM ITT E FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK 11 0 CASH
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